EKLAMPSIYa V SOVREMENNOM AKUShERSTVE


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Abstract

The objective of the study was to define ways of reducing the frequency of eclampsia and its severe complications. The authors analyzed 113 histories of deliveries occurring in patients with severe gestosis and eclampsia at Moscow maternity homes in 2006-2008, the 2008 records of obstetric facilities of the Russian Federation, and the data available in the literature.
The main errors in the treatment of preeclampsia and eclampsia were the underestimation of the patients' status and no notification of the symptoms of preeclampsia (19-36%), insufficient and inadequate anticonvulsive therapy (13-85%), polypragmasia (56%), high administered fluid volumes with a predominance of colloids (25.4%), inadequate labor analgesia (82.7%), and inadequate postpartum therapy (12-87%). The reduction in the frequency of eclampsia and its complications is determined by the timely diagnosis and treatment of the conditions preceded its development. To follow the management protocols elaborated for patients with severe gestosis and eclampsia is excessively important

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